MARK D FULFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074230

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

FULFORD

Business Name

MARK D FULFORD

Original Issue Date

02/20/1981

Effective Date

02/20/1981

Expiration Date

03/31/1986

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005